DAVID THOMAS TAYLOR DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000412

License Status

EXPIRED

Business

First Name

DAVID

Middle

THOMAS

Last Name

TAYLOR

Suffix

DPM

Business Name

DAVID THOMAS TAYLOR DPM

Original Issue Date

05/28/1999

Effective Date

05/28/1999

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006